Safety and Efficacy of Autologous Transplantation of iPSC-RPE in the Treatment of Macular Degeneration
Primary Purpose
Macular Degeneration
Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Autologous iPSC-derived RPE
Sponsored by
About this trial
This is an interventional treatment trial for Macular Degeneration focused on measuring Retinal disease, Macular degeneration, Stem Cells, RPE, Safety, Efficacy
Eligibility Criteria
Inclusion Criteria:
- Aged 50-75 years;
- Clinical diagnosis is consistent with the definition of late dry AMD in the age-related eye disease study (AREDS), with one or more >250 um geographic atrophy in the fovea;
- Clinical diagnosis is wet AMD, but no obvious efficacy after conventional treatment;
- The BCVA of the target eye will be 0.05 to 0.3;
- Voluntary as test subjects, informed consent, regular follow-up on time.
Exclusion Criteria:
- One-eyed subjects;
- Macular atrophy caused by other diseases in addition to AMD;
- Suffer from retinitis pigmentosa, choroidal retinitis, central serous choroiditis, diabetic retinopathy, or other retinal vascular and degenerative diseases besides AMD;
- Lens opacities (affecting the central vision), glaucoma, uveitis, retinal detachment, optic neuropathy, and other ocular histories;
- Other intraocular surgery histories besides cataract surgery;
- Combined with severe systemic diseases, such as heart failure, liver disease, renal insufficiency, cor pulmonale, COPD in the previous 12 months;
- Combined with severe infectious diseases, such as HIV, HBV, HCV, syphilis, tuberculosis, etc;
- Abnormal blood coagulation function or other laboratory tests;
- If female and of childbearing potential, pregnant, breastfeeding, or planning to become pregnant through the study;
- If male, refuse to use barrier and spermicide contraception during the study;
- Malignant tumor and history of malignancy;
- Any immune deficiency;
- Allergy to tacrolimus or other macrolides;
- Any immune deficiency;
- Use glucocorticoids, immunosuppressive drugs, or antipsychotic drugs in the previous 3 months;
- Use anticoagulant, or the platelet function is still not restored to normal after stopping antiplatelet drugs for 10 days;
- A history of addiction to alcoholism or prohibited drugs;
- Be participating in other intervention clinical trials or receiving other study medications;
- Poor compliance, difficulty to complete the study, or refusal to informed consent;
- Some other situations which might increase the risks of the subjects or interfere with clinical trials, such as mental disorders, cognitive dysfunction, etc.
Sites / Locations
- Beijing Tongren Hospitol,Capital Medical UniversityRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
Participants receiving intervention
Arm Description
Participants will receive autologous transplantation of induced pluripotent stem cell-derived retinal pigment epitheliums.
Outcomes
Primary Outcome Measures
Safety measure
Safety will be assessed by Adverse Events (AEs) of special interest in regards to the investigational product. This will include obtaining information about Serious Adverse Events (SAEs) that are neurologic, infectious, hematologic or fatal, any AE that causes the subject to withdraw from the study, any new diagnosis of an ocular or immune-mediated disorder, cancer (irrespective of prior history), ectopic or proliferative cell growth (RPE or non-RPE) with adverse clinical consequence, unexpected, clinically significant AE possibly related to the cell transplant procedure or the investigational product (autologous iPSC-RPE), pregnancy in a female subject or the partner of a male subject and pregnancy outcome.
Secondary Outcome Measures
Best Corrected Visual Acuity (BCVA)
Change in visual acuity will be measured by Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
Optical coherence tomography (OCT) imaging
The number of patients with serious retinal detachment, retinal hemorrhage, and cystoid macular edema, and the change in target treatment areas.
Color and autofluorescence imaging
Change in target treatment areas.
Fluorescein angiography
Change in target treatment areas.
Fundus autofluorescence
Change in target treatment areas.
Microperimetry
Exploratory evaluations for the change of retinal sensitivity from baseline in the region of interest.
Electroretinography (ERG)
Exploratory evaluations for the change of retinal electrophysiology responses from baseline.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05445063
Brief Title
Safety and Efficacy of Autologous Transplantation of iPSC-RPE in the Treatment of Macular Degeneration
Official Title
Safety and Efficacy of Autologous Transplantation of Induced Pluripotent Stem Cell-Derived Retinal Pigment Epithelium in the Treatment of Macular Degeneration
Study Type
Interventional
2. Study Status
Record Verification Date
March 2022
Overall Recruitment Status
Recruiting
Study Start Date
August 2022 (Anticipated)
Primary Completion Date
July 2026 (Anticipated)
Study Completion Date
December 2026 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beijing Tongren Hospital
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
This project intends to perform autologous transplantation of induced pluripotent stem cell-derived retinal pigment epithelium (iPSC-RPE). The clinical-grade RPE will be transplanted into subretinal space to treat refractory age-related macular degeneration. The efficacy and safety of RPE transplants to treat macular degeneration will be monitored and analyzed with results from EDTRS, BCVA, OCT, ERG, microperimetry, and fluorescein angiography, before and after the treatment.
Detailed Description
The investigators will generate iPSC lines from recruited participants and differentiate the iPSC into RPE. Autologous iPSC-derived RPE will be transplanted into participants eyes by subretinal injections. The safety and efficacy will be closely monitored and analyzed.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Macular Degeneration
Keywords
Retinal disease, Macular degeneration, Stem Cells, RPE, Safety, Efficacy
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Participants receiving intervention
Arm Type
Experimental
Arm Description
Participants will receive autologous transplantation of induced pluripotent stem cell-derived retinal pigment epitheliums.
Intervention Type
Biological
Intervention Name(s)
Autologous iPSC-derived RPE
Intervention Description
Autologous transplantation of iPSC-derived RPE
Primary Outcome Measure Information:
Title
Safety measure
Description
Safety will be assessed by Adverse Events (AEs) of special interest in regards to the investigational product. This will include obtaining information about Serious Adverse Events (SAEs) that are neurologic, infectious, hematologic or fatal, any AE that causes the subject to withdraw from the study, any new diagnosis of an ocular or immune-mediated disorder, cancer (irrespective of prior history), ectopic or proliferative cell growth (RPE or non-RPE) with adverse clinical consequence, unexpected, clinically significant AE possibly related to the cell transplant procedure or the investigational product (autologous iPSC-RPE), pregnancy in a female subject or the partner of a male subject and pregnancy outcome.
Time Frame
12 months
Secondary Outcome Measure Information:
Title
Best Corrected Visual Acuity (BCVA)
Description
Change in visual acuity will be measured by Early Treatment Diabetic Retinopathy Study (ETDRS) chart.
Time Frame
12 months
Title
Optical coherence tomography (OCT) imaging
Description
The number of patients with serious retinal detachment, retinal hemorrhage, and cystoid macular edema, and the change in target treatment areas.
Time Frame
12 months
Title
Color and autofluorescence imaging
Description
Change in target treatment areas.
Time Frame
12 months
Title
Fluorescein angiography
Description
Change in target treatment areas.
Time Frame
12 months
Title
Fundus autofluorescence
Description
Change in target treatment areas.
Time Frame
12 months
Title
Microperimetry
Description
Exploratory evaluations for the change of retinal sensitivity from baseline in the region of interest.
Time Frame
12 months
Title
Electroretinography (ERG)
Description
Exploratory evaluations for the change of retinal electrophysiology responses from baseline.
Time Frame
12 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Aged 50-75 years;
Clinical diagnosis is consistent with the definition of late dry AMD in the age-related eye disease study (AREDS), with one or more >250 um geographic atrophy in the fovea;
Clinical diagnosis is wet AMD, but no obvious efficacy after conventional treatment;
The BCVA of the target eye will be 0.05 to 0.3;
Voluntary as test subjects, informed consent, regular follow-up on time.
Exclusion Criteria:
One-eyed subjects;
Macular atrophy caused by other diseases in addition to AMD;
Suffer from retinitis pigmentosa, choroidal retinitis, central serous choroiditis, diabetic retinopathy, or other retinal vascular and degenerative diseases besides AMD;
Lens opacities (affecting the central vision), glaucoma, uveitis, retinal detachment, optic neuropathy, and other ocular histories;
Other intraocular surgery histories besides cataract surgery;
Combined with severe systemic diseases, such as heart failure, liver disease, renal insufficiency, cor pulmonale, COPD in the previous 12 months;
Combined with severe infectious diseases, such as HIV, HBV, HCV, syphilis, tuberculosis, etc;
Abnormal blood coagulation function or other laboratory tests;
If female and of childbearing potential, pregnant, breastfeeding, or planning to become pregnant through the study;
If male, refuse to use barrier and spermicide contraception during the study;
Malignant tumor and history of malignancy;
Any immune deficiency;
Allergy to tacrolimus or other macrolides;
Any immune deficiency;
Use glucocorticoids, immunosuppressive drugs, or antipsychotic drugs in the previous 3 months;
Use anticoagulant, or the platelet function is still not restored to normal after stopping antiplatelet drugs for 10 days;
A history of addiction to alcoholism or prohibited drugs;
Be participating in other intervention clinical trials or receiving other study medications;
Poor compliance, difficulty to complete the study, or refusal to informed consent;
Some other situations which might increase the risks of the subjects or interfere with clinical trials, such as mental disorders, cognitive dysfunction, etc.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Xiaohui Zhang
Phone
+0086-(010)58265915
Email
zhangxh711@126.com
Facility Information:
Facility Name
Beijing Tongren Hospitol,Capital Medical University
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100730
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zi-Bing Jin, Doctor
Phone
+0086-(010)58265913
Email
jinzibing@foxmail.com
12. IPD Sharing Statement
Plan to Share IPD
No
IPD Sharing Plan Description
Detailed plan will be made based on institute regulations and funder policies. The investigators will adjust the plan case-by-case accordingly.
Learn more about this trial
Safety and Efficacy of Autologous Transplantation of iPSC-RPE in the Treatment of Macular Degeneration
We'll reach out to this number within 24 hrs